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. 2019;31(Suppl):S89-S95.
doi: 10.1016/j.sdentj.2019.01.007. Epub 2019 Jan 29.

Multidisciplinary approach with predictable esthetics: A case report

Alhanouf A Albarrak  1 , Hamad S AlRumaih  2 , Abdulkareem Al-Humaidan  3 , Ahmad M Al-Thobity  2 , Faris A Alshahrani  2
Affiliations

Multidisciplinary approach with predictable esthetics: A case report

Alhanouf A Albarrak et al. Saudi Dent J. 2019.

Abstract

This case report explains an effective multidisciplinary approach used to improve the function, biology, and esthetic of a patient presented with an excessive gingival display, a spacing between anterior teeth, small size anterior teeth in maxilla and mandible. Also, unrestorable molars were noted with multiple carious lesions. The treatment combined crown lengthening, prosthetic dentistry using lithium disilicate crowns and minimally invasive implants placement approach.

Keywords: Crown lengthening; Dental implant; Esthetic dentistry; Excessive gingival display; High smile line; Multidisciplinary dentistry.

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Figures

Fig. 1
Fig. 1
Pre-operative Extra and Intra-oral examination including simile, frontal, lateral and occlusal views.
Fig. 2
Fig. 2
A. Pre-operative orthopantomogram radiograph. B. Pre-operative Full mouth radiographs.
Fig. 3
Fig. 3
The diagnostic wax-up on mounted casts using semi-adjustable Hanau™Wide-Vue whip mix articulator with the use of face bow transfer. The diagnostic wax-up on study casts mounted on semi-adjustable Hanau articulator with the use of face bow transfer.
Fig. 4
Fig. 4
The diagnostic wax-up following the fundamental esthetic criteria; tooth axis inclination increases from the central incisors to the canines (dotted lines). Level of interdental contact (red lines). Interincisal angles (yellow lines). Smile line (white line).
Fig. 5
Fig. 5
CBCT scan evaluation for future implant #3, 19. Note, the presence of adequate bone height and width.
Fig. 6
Fig. 6
A. Two months follow up after the crown lengthening procedure in maximum intercuspation view. B–D. Two months follow up, smile view, right, and left side. Note, the tissues are completely healed.
Fig. 7
Fig. 7
Veneers preparations for the mandibular anterior teeth.
Fig. 8
Fig. 8
Post-operative Extra and Intra-oral examination including simile, frontal, lateral and occlusal views.
Fig. 9
Fig. 9
Comparison between pre-operative and post-operative maxillary teeth.
Fig. 10
Fig. 10
Post-operative photo of the teeth in the maximum intercuspation.
Fig. 11
Fig. 11
A. Post-operative orthopantomogram radiograph. B. Post-operative Full mouth radiographs.
Fig. 12
Fig. 12
Post-operative 8  months’ follow-up of the smile view.
See this image and copyright information in PMC

References

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